A varicocele is an abnormal enlargement of the veins within the scrotum, similar to varicose veins in the legs. It affects around 15% of adult men and is a leading cause of decreased sperm quality and male infertility. Although often asymptomatic, it can cause discomfort, testicular shrinkage, or visible swelling. Most commonly developing during puberty, varicoceles are more frequently found on the left side due to anatomical differences in venous drainage. While not all varicoceles need treatment, intervention is considered when there’s pain, testicular atrophy, or infertility.
A varicocele occurs when veins in the pampiniform plexus (a network of small veins in the spermatic cord) become dilated due to faulty valves, leading to poor blood drainage from the testicles. This causes blood pooling, raising the temperature in the scrotum, which may negatively impact sperm production and hormone levels.
Conservative Management
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At MASSH, we combine precision, experience, and patient-centered care to address varicocele effectively. Our team of expert urologists uses advanced diagnostics and offers both microsurgical and minimally invasive treatment options tailored to your symptoms and fertility goals. With state-of-the-art surgical infrastructure, shorter recovery times, and proven fertility outcomes, MASSH ensures you receive the best care in a compassionate environment. We also provide ongoing follow-up, hormonal assessments, and semen analysis for comprehensive management and peace of mind.
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No, varicoceles usually do not resolve without treatment but may remain stable or asymptomatic in many cases.
Not always. While varicoceles are common in infertile men, many with varicocele father children without treatment.
Treatment is advised if there’s pain, testicular atrophy, or fertility concerns.
There’s no proven way to prevent varicocele, but maintaining a healthy lifestyle and avoiding prolonged standing may help reduce symptoms.
Surgical repair improves semen quality in 60–80% of cases and increases the chances of natural conception in selected couples.